title: Management of fetal death with placenta previa.
abstract: Management of second- and third-trimester fetal death in the presence of placenta previa is a dilemma for obstetricians. We herein describe a case of fetal death occurring at 23 weeks' gestation in the presence of placenta previa. Three weeks of expectant management failed to reduce uteroplacental blood perfusion evaluated with pulsatility index of the uterine artery. Labor was then induced with gemeprost vaginal pessary following overnight laminaria pretreatment. Vaginal delivery was achieved with total blood loss of 1900 ml. Homologous blood transfusion was obviated owing to autologous blood that had been stored during the waiting period.
authors.affiliation: Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan.
authors.forename: Mana
authors.initials: M
authors.lastname: Taki
authors.forename: Yukiyasu
authors.initials: Y
authors.lastname: Sato
authors.forename: Kazuyo
authors.initials: K
authors.lastname: Kakui
authors.forename: Keiji
authors.initials: K
authors.lastname: Tatsumi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Ikuo
authors.initials: I
authors.lastname: Konishi
mesh_terms: D000328:Adult; D005260:Female; D005313:Fetal Death / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007751:Labor, Induced / Q000009:adverse effects*; D010923:Placenta Previa; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000209:etiology